Provider Demographics
NPI:1801330329
Name:MCLEISH, JAYME L (MS, CCC-SLP)
Entity type:Individual
Prefix:MISS
First Name:JAYME
Middle Name:L
Last Name:MCLEISH
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17834 CANEHILL AVE
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-7151
Mailing Address - Country:US
Mailing Address - Phone:562-879-2046
Mailing Address - Fax:
Practice Address - Street 1:17834 CANEHILL AVE
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-7151
Practice Address - Country:US
Practice Address - Phone:562-879-2046
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-19
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235500000X
CA23724235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist